Individual
MAXWELL TUO CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 385-6700
Mailing address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 385-6700
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102208048
VA
Other
Enumeration date
03/21/2022
Last updated
09/06/2023
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